| NPI | 1639173115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: WV WV13411) |
| Additional Taxonomies | 171W00000X Contractor (Licence: WV WV 13411) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2008-03-13 |